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Patent Medicine Entrepreneurs: Friend or "Faux"?

December 15, 2020 Archive Insight

Before modern pharmaceuticals and medical practice came to be widely accepted, people had essentially three choices to try to cure what ailed them, none of which was perfect. The first choice was to be treated by a doctor, if one was available, affordable, and trustworthy. The second option was to try a home remedy, found in cookbooks or periodicals or passed down through a family member. The third choice was patent medicines. Readily available and relatively inexpensive—though often suspect and sometimes downright dangerous—patent medicines were a popular option for treatment throughout the 1800s.

The popularity of patent medicines encouraged entrepreneurs to manufacture their own remedies and enter the flourishing patent medicine industry. Some of these entrepreneurs were licensed doctors who decided to become businessmen instead of practitioners. Others were businessmen with a flair for marketing who saw an opportunity to use their skills to peddle an acquired formula or small medicine business they purchased. Unfortunately, some entrepreneurial manufacturers were complete con artists concocting their own remedies that either did absolutely nothing or were quite dangerous to whomever consumed them. Through this blog post, we'll explore the stories behind various entrepreneurial patent medicine manufacturers.

Sitting woman in floral dress with white apron, holding pail; also contains text
Trade Card for Brown’s Iron Bitters, Brown Chemical Co., 1890-1900. Patent medicines were often advertised as “cure-alls” with packaging and advertisements listing illnesses and complaints that the product was intended to “cure.” This trade card for Brown’s Iron Bitters claims that it cured “indigestion, dyspepsia, intermittent fevers, want of appetite, loss of strength, lack of energy, malaria and malaria fevers,” and other things. / THF277429

The term “patent medicine” is misleading as the medicine advertised was very rarely patented. It originally referred to medicine in which the ingredients were “granted protection for exclusivity,” meaning that the same composition could not be sold by another manufacturer. While it was relatively simple to obtain a patent for medicine, most manufacturers didn’t apply for one because it meant that they would have to divulge the remedy’s ingredients. More often than not, these medicines contained dangerous substances like morphine, cocaine, and high levels of alcohol.

Little girl with red ribbon in her blonde hair, wearing blue dress, holds box and doll
Trade Card for Burdock Blood Bitters, Foster, Milburn & Co., circa 1885. A study conducted by the American Medical Association in 1917 found that Burdock Blood Bitters, a popular patent medicine, contained 25.2% alcohol by volume. This medicine, and others like it, would most likely dull any pain (thanks to the alcohol) but its contents also increased the likelihood of developing dependency or addiction in adults, and could be fatal to children. / THF215182

Having originated in England in the 17th century, patent medicines made their way to America in the 18th century and were a major industry by the 1850s. The last half of the 1800s is considered the “golden age” of American patent medicine, with hundreds of products flooding the market. A number of factors led to this boom in the industry. For one, advances in industrial and manufacturing technology made the process of producing bottles, containers, labels, and the medicine itself more efficient. As the century progressed, advanced transportation methods opened new markets across the continent. Additionally, the introduction of color printing created an advertising frenzy with thousands of newspaper, magazine, trade card, and poster advertisements. And finally, there were essentially no regulations imposed on the drug trade at this time, meaning that individuals could put whatever they wanted into a remedy and advertise it however they pleased. All of this culminated to ensure that the patent medicine trade was highly lucrative, encouraging enterprising individuals to launch their own brand of medicines regardless of medical knowledge or background.

Drawing of a landscape with animal figures "hidden" in the landscape; also contains text
Trade Card for Dr. Harter’s Iron Tonic, 1875-1890. Trade cards were the most popular method for advertising patent medicines. This puzzle card for Dr. Harter’s Iron Tonic featured hidden figures within a drawing for customers to find. / THF214474

While there were hundreds of patent medicines created during this time, the most successful were the ones that were heavily advertised. Consumers encountered many advertisements and brand recognition became extremely important with so many patent medicines on the market. Trade cards of the era inform us who the major players were in the patent medicine industry. They also allow us to examine the advertising tactics used by patent medicine manufacturers to entice potential customers.

Foster, Milburn & Co.


card with text
Trade Card for Burdock Blood Bitters, Foster, Milburn, & Co., circa 1885. / THF215179

Orrin Foster and Thomas Milburn were patent medicine manufacturers and distributors. They organized their first business in the 1870s in Toronto before opening a distribution office in Buffalo, New York. The company’s best-known product was Dr. Thomas’ Eclectric Oil, which the pair had purchased from Dr. Samuel N. Thomas in 1876 and marketed heavily to the general public. The back of this trade card for Burdock Blood Bitters—another well-known product by the company—features a popular strategy for advertising patent medicines: testimonials. Testimonials provided prospective buyers with “first-hand experiences” of those who had tried the product. With praises sung by doctors, reverends, and members of the general public, testimonials instilled confidence in the products, persuading consumers to buy. Whether the testimonials were truthful or fabricated is up for debate.

Humphreys’ Homeopathic Medicine Company


Illustration of woman in red dress in field, one leg held out behind her, holding two leafy branches crossed above her head; also contains text
Trade Card for Humphreys’ Witch Hazel Oil, Humphrey’s Med. Co., 1870-1900. / THF299894

Humphreys’ Homeopathic Medicine Company is an example of a patent medicine company that actually had a proprietor in the medical field. The company was founded by Frederick K. Humphreys in 1853. He graduated in 1850 from the Pennsylvania Homeopathic Medical College with a Doctor of Homeopathic Medicine degree and established a successful medical practice. Homeopathy is an alternative medical practice based in the belief that the same substances that cause disease in healthy people can be used to treat those who are sick with similar symptoms. According to the Federation of Historical Bottle Collectors, Humphreys helped “form the New York State Homeopathic Medical Society and became an important member of the American Homeopathic Institute.” In 1854, Humphreys began manufacturing and selling homeopathic remedies. Witch Hazel Oil—for curing itching, pain from cuts and burns, chapped hands and feet, bug bites, sunburns, etc.—became one of Humphreys' most popular products over time.

Lydia E. Pinkham’s Medicine Company


Torso and head of woman with elaborate lacy scarf pinned around her neck and chest; handwritten text
Trade Card for Lydia E. Pinkham’s Vegetable Compound, 1880-1890. / THF298977

Lydia E. Pinkham was one of the most prominent names in the sector of the patent medicine industry that catered to “female complaints.” Before entering the business, Pinkham was a teacher and mother. It is said that she was known among her neighbors for mixing her own herbal remedies, keeping a personal notebook she called “Medical Directions for Ailments.” Pinkham’s Vegetable Compound is believed to have been a secret formula given to Lydia’s husband as payment for money owed to him. The couple began producing the compound in 1875, thus entering the patent medicine business. Their sons, Will and Dan, were tasked with marketing the product. In 1879, Dan came up with the idea of using Lydia’s portrait in advertisements—the first woman’s likeness to be used in advertising. Attaching her likeness and signature to advertising was a huge hit, providing women with a friendly and “knowing” face, which instilled confidence in the product.

Carter Medicine Company


Palette-shaped paper containing illustrations of two kittens cavorting in snow
Trade Card for Carter’s Little Liver Pills, Carter Medicine Company, 1880-1890. Trade cards were generally printed as small rectangles but unique shapes, like the painter’s palette shape of this card, were also created and were a beneficial advertising tool. / THF297541

The Carter Medicine Company provides another example of a patent medicine manufacturer with a background in the medical field. Pharmacist Dr. John Samuel Carter began selling “Carter’s Little Liver Pills” out of his pharmacy in Pennsylvania for those with “digestive distress.” The product gained popularity throughout the 1850s and in 1880, Carter formed a partnership with New York businessman Brent Good to establish Carter Medicine Company. By World War I, "Carter's Little Liver Pills" had become such a staple in American households that the company remained in business despite a global economic downturn.

C.I. Hood & Co.


Black-and-white photo of gothic cathedral; people passing on roadway in front and other buildings visible to the side
Trade Card for C.I. Hood & Co. with Hood’s Photos of the World, “Notre Dame Cathedral, Paris,” 1890-1910. Trade Cards from Hood’s Photos of the World series gave customers views of faraway places, providing a window to the broader world. / THF297455

C.I. Hood & Co. was one of the most recognized names in the patent medicine industry. In 1875, Charles Ira Hood opened his drug store, C.I Hood & Company, in Lowell, Massachusetts. Within a few years, Hood’s was one of the largest patent medicine producers in the United States. The thing that set Hood’s company apart was its state-of-the-art factory, which included its own advertising department. Hood’s factory produced all sorts of ephemera, including calendars, trade cards, and even cookbooks, which helped make it one of the most successful patent medicine manufacturers.

Dr. Seth Arnold’s Medical Corporation


White bird with open long orange beak near snake with leaping frog in its mouth;  also contains text
card with text
Trade Card for Dr. Seth Arnold Medical Corporation, 1880-1890 /
THF214532, THF214533

Seth Arnold worked in a series of industries before entering the patent medicine business in the late 1840s. Following a venture in hotel management, Arnold took several years off due to his health, beginning in 1835. He was said to have used this time to create a remedy for his illness, a medicine that came to be called “Dr. Arnold’s Balsam.” In the New England Union Directory of 1849, Arnold was cited as an “eclectic physician and patent medicine manufacturer” in Smithfield, Rhode Island, where he was also a physician for cholera. In addition to his balsam, two additional products were created—“Cough Killer” and “Bilious Pills”—to be sold by his company, known as Dr. Seth Arnold’s Medical Corporation. Dr. Seth Arnold’s Cough Killer was believed to be his most popular product, but the others were successful as well. If the testimonial on the back of the trade card above is to be believed, customers as far away as Nebraska used Dr. Seth Arnold’s Bilious Pills.

Sterling Remedy Company


Shirtless man in cape with sword and shield stands with one foot on the chest of a man on the ground; also contains text
Trade Card for “No-To-Bac” Tobacco Habit Cure, Sterling Products Co., circa 1894. / THF298541

Sterling Remedy Company provides an example of a businessman entering the patent medicine industry without any medical knowledge or background. H.L. Kramer was a self-made businessman who established a publishing and advertising company in Lafayette, Indiana, and held interest or managerial positions in the Humane Remedy Company and the Universal Remedy Company (both manufacturers of patent medicines). One of Kramer’s advertising clients was John W. Heath, a local Indiana banker who owned Sterling Remedy Company. Heath also consulted with Kramer on a project to develop a local health spring into a medicinal spa. Following Heath’s death in 1890, Kramer bought out his widow’s interest in the Sterling Remedy Company and the medical springs. By the mid-1890s, Kramer had launched the springs as a “fashionable Midwestern health resort” known as “Mudlavia” because of its specialty mud bath cures. Under Kramer’s leadership (and with thousands of dollars spent on advertising yearly), Sterling Remedy Company gained popularity. Universal Remedy Company’s “No-To-Bac,” a popular tobacco habit cure, was merged with Sterling Remedy Company’s product line. A common side effect of No-To-Bac was constipation, so the company produced Cascarets to help with this inconvenience. Cascarets became the company's most popular product. Despite success, Kramer sold the company in 1909.

Dr. J.C. Ayer & Co.


Chest and head of woman with long light brown hair and pink rose pinned to her chest; also contains text
Trade Card for Ayer’s Hair Vigor, circa 1885. Ayer’s Hair Vigor became a popular hair restorative following its introduction in the 1860s. Examples of packaging for this patent medicine are on display at the J.R. Jones General Store in Greenfield Village. / THF297658

James C. Ayer was one of the most recognized names in the patent medicine industry. This is largely due to the fact that Ayer was an advertising genius, producing thousands of advertisements in the form of trade cards, almanacs, posters, and newspaper and magazine ads. Young Ayer apprenticed for several years at Jacob Robbins’ Apothecary Shop in Ledyard, Connecticut, and studied under Dr. Samuel Dana. Within a few years, Ayer purchased the apothecary shop and began manufacturing his own medicines, including Cherry Pectoral. His medicine was so popular that he was forced to find a larger manufacturing facility, moving operations to Lowell, Massachusetts. In 1855, Ayer entered into a partnership with his brother to form J.C. Ayer & Company, manufacturing patent medicines. Additional remedies created by Ayer since introducing Cherry Pectoral included Cathartic Pills in 1853, Sarsaparilla and Ague Cure in 1858, and restorative Hair Vigor in 1867. In 1860, the Philadelphia Medical University awarded Ayer with an honorary medical degree, leading to the addition of “Dr.” to the company’s name.

Beige page with etching of recumbent lion holding large bottle in its front paws; also contains text
“Ayer’s American Almanac, 1907” /  THF285177

While trade cards were certainly one of the most effective advertising methods for patent medicines, major manufacturers printed their own almanacs as well. Dozens of almanacs littered the counters of local general stores and urban pharmacies. In an average year, J.C. Ayer & Co. produced roughly 16 million almanacs. In 1889, Ayer’s distributed 25 million almanacs in 21 languages.

Federal Regulation


While the masses were content to self-prescribe patent medicines for themselves, there were some who questioned the effectiveness of the products and the legitimacy of their proprietors. As previously mentioned, relatively few restrictions were placed on the drug trade at this time and manufacturers were not inclined to provide a list of ingredients for their products. Some reputable doctors took it upon themselves to conduct studies to see what some of the most popular patent medicines were made of, and the results were often startling.

Many medicines were found to contain dangerous levels of alcohol. For instance, one study found that Lydia E. Pinkham's Vegetable Compound contained roughly 20% alcohol. Other remedies were found to contain morphine (like Dr. Seth Arnold's Cough Killer) and cocaine. With reports such as these making the general public aware of dangerous substances in some of their favorite medicines, and growing concern against the manufactured food industry regarding sanitation practices and food additives, the Pure Food and Drug Act was passed in 1906, placing federal regulations on these trades. For patent medicines, the passage of the act called for manufacturers to list any harmful ingredients on their containers and prohibited any false or misleading advertising.

Page with text and large header "No Alcohol"
Page from “Ayer’s American Almanac, 1907” noting that its products do not contain alcohol. / THF285178

Following the passage of the Pure Food and Drug Act, there was a significant decrease in the number of patent medicines on the market, but there were some companies that were able to remain in business. One of the most successful was Carter Medicine Company. It sustained its legitimacy even with the passage of the Act, and throughout the 20th century, the company diversified its products, leading to research in anti-perspirants and deodorant. The company is still in business today as Carter-Wallace, with well-known products such as Arrid, an antiperspirant and deodorant, and Nair, a hair remover for women.

Two other manufacturers previously mentioned—the Lydia Pinkham Company and Humphreys' Homeopathic Medicine Company (now Humphreys' Pharmacal, Inc.)—also remain in business today with their products available for purchase online.


Samantha Johnson is Project Curator for the William Davidson Foundation Initiative for Entrepreneurship at The Henry Ford. Special thanks to Donna Braden, Senior Curator and Curator of Public Life at The Henry Ford, for sharing her knowledge and resources on the patent medicine industry and for reviewing this content.

19th century, patent medicines, healthcare, entrepreneurship, by Samantha Johnson, advertising

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